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Postgraduate Medical Journal 2002;78:492-493; doi:10.1136/pmj.78.922.492
© 2002 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2002;78:492-493
© 2002 The Fellowship of Postgraduate Medicine

CASE REPORT

Multifocal cardiac leiomyosarcoma. Diagnosis and surveillance by transoesophageal echocardiography and contrast enhanced cardiovascular magnetic resonance

N R A Clarke1, R H Mohiaddin2, S Westaby3, A P Banning1

1 Cardiology Department, Oxford Radcliffe Hospital NHS Trust, UK
2 Cardiovascular Magnetic Resonance Unit, Brompton and Harefield NHS Trust, London, UK
3 Cardiothoracic Surgery, Oxford Radcliffe Hospital NHS Trust, UK

Correspondence to:
Correspondence to:
Dr Clarke;
nigelra.clarke{at}btinternet.com

ABSTRACT

Primary cardiac sarcomas are rare and typically undergo aggressive local spread. There is no reliable definitive treatment, although radical surgical resection can provide palliation in the medium term. A case of a pleomorphic leiomyosarcoma with dramatic images is presented. The relative usefulness of transoesophageal echocardiography and cardiovascular magnetic resonance imaging to define the extent of tumour involvement, allowing planning of treatment, is demonstrated.

Keywords: cardiac leiomyosarcoma; transoesophageal echocardiography; contrast enhanced cardiovascular magnetic resonance

Abbreviations: CMR, cardiovascular magnetic resonance; DPTA, diethylenetriaminepenta-acetic acid; TOE, transoesophageal echocardiography


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